Moving to Learn: How Movement-Based Activities Boost Speech and Language Development

Posted on February 15, 2025December 9, 2024

We Like to Move It, Move It with Movement-Base Activities!

When you think of movement-based therapy, you may immediately think of physical or occupational therapy. Turns out, speech and language skills can and should be targeted through gross motor activities as well! How does movement help children develop speech and language skills? Incorporating movement into speech therapy sessions promotes attention, self-regulation, and learning.

Movement-Base Activities can set the stage for Learning

Effective speech therapy doesn’t require that a child stays seated in their chair! When kids can move around (e.g., stand, bounce, jump, swing, dance), they are often more motivated to participate in therapy activities. Allowing for movement can increase a child’s attention towards the task at hand, contributing to more significant learning. Movement can also have a calming effect on the body! Think about the soothing impact of rocking a baby and how it feels to swing in a hammock or go on a walk after a long day. Engaging in movement can help a child maintain control over their emotions, thoughts, and behaviors, thus freeing up cognitive resources needed to focus on learning.

Fun, Movement-Based Activities

Create an Obstacle Course
- Collaborate to create an obstacle course! Slides, swings, cones, bean bags, scooter boards, and balance beams can all be used to create an exciting obstacle course. Target following directions, understanding spatial concepts, and using verbs while designing and completing the course. For kids working on speech sounds, each station can include an opportunity to practice 5-10 words containing target sounds before moving on to the next station.
Go on a Scavenger Hunt Around the Room
- Take turns hiding objects, puzzle pieces, or pictures around the room. To make it even more fun, use a flashlight or binoculars as you search for the hidden items. As your child finds the secret item, have them describe what they saw and where they found it to encourage expressive language skills.
Sing and Dance to Music
- Music’s repetitive and melodic element makes it a meaningful way to experience language. For younger kids, sing familiar nursery rhymes and songs to encourage early communication skills such as imitating actions (e.g., clapping hands, stomping feet). Music tends to be repetitive, which provides many opportunities to hear words and phrases. Using a sing-song voice often makes language more memorable for children as they acquire words. Older kids may enjoy taking a dance break while practicing their speech and language goals or choose songs containing a child’s target speech sounds to make repetitive practice more fun!

How can Carolina Therapy Connection Help?

Ask your child’s speech-language pathologist for more ideas for using movement to foster the development of speech and language skills. If you have questions or concerns regarding your child’s communication skills, a Speech-Language Pathologist at Carolina Therapy Connection can help!

Transforming Pediatric Care with Galileo KIDS

Posted on January 27, 2025

Revolutionizing Pediatric Therapy: Introducing Galileo KIDS

At Carolina Therapy Connection, we’re dedicated to providing the most innovative tools and techniques to help children reach their full potential. That’s why we’re excited to offer Galileo KIDS, a cutting-edge therapy device designed to support children across multiple developmental and therapeutic goals. Whether your child is working on physical, occupational, or speech therapy, this technology can be a game-changer!

What is Galileo KIDS?

Galileo KIDS is a whole-body vibration therapy platform specifically designed for children. This scientifically developed device uses side-alternating oscillations to mimic natural movement patterns, engaging muscles and stimulating the neuromuscular system. The platform is customizable, allowing therapists to adjust the intensity to meet the specific needs of each child.

Originally developed for medical and therapeutic use, the Galileo system has been backed by extensive research demonstrating its effectiveness in:

Improving muscle strength and tone
Enhancing balance and coordination
Supporting bone density and joint flexibility
Boosting circulation and reducing spasticity

This evidence-based approach makes it an invaluable tool across various therapy disciplines.

How is Galileo KIDS Used in Therapy?

Physical Therapy:
The Galileo KIDS is a powerful tool for building strength and mobility. It activates the stretch reflex, a natural muscle contraction, at a much faster rate than traditional exercise. This can help children:

Develop core strength and stability
Improve balance and gait/walking patterns
Enhance flexibility and range of motion/movement
Manage conditions like cerebral palsy, muscular dystrophy, or hypotonia

Occupational Therapy:
For children working on fine motor and sensory integration, the Galileo KIDS provides unique opportunities for growth. The gentle vibrations help:

Regulate sensory processing and calm overstimulation
Improve hand-eye coordination through targeted activities
Strengthen hand, wrist, and shoulder muscles critical for daily tasks like writing, dressing, or eating

Speech Therapy:
While vibration therapy might not seem directly tied to speech, it can play an essential role in improving motor control and posture, which are foundational for effective communication. Therapists use Galileo KIDS to:

Enhance core strength for better breath control and vocal projection
Address oral motor coordination through improved posture and alignment
Support neurological pathways critical for speech and language development

Why Choose Galileo KIDS for Your Child?

The benefits of Galileo KIDS go beyond its cutting-edge technology. It’s:

Engaging: Children enjoy the dynamic, interactive nature of the platform.
Time-Efficient: Sessions are short but highly effective, with benefits often noticeable after just a few uses.
Safe: Built with children in mind, Galileo KIDS offers gentle yet impactful therapy tailored to each child’s age and ability.
Versatile: With applications across multiple therapy disciplines, it provides a holistic approach to supporting your child’s development.

Research-Backed Results

Studies have shown that whole-body vibration therapy can improve strength, bone density, and motor function in children with neuromuscular disorders and other developmental challenges. Its proven ability to enhance sensory processing and reduce spasticity makes it a trusted tool in modern pediatric therapy.

Experience Galileo KIDS at Carolina Therapy Connection

We’re proud to bring this innovative therapy device to our clinic. Whether your child is working on gross motor skills, fine motor coordination, or speech development, Galileo KIDS offers a fun, effective way to support their journey. This service is covered under insurance when used as part of a therapeutic treatment program.

Ready to learn how Galileo KIDS can benefit your child? Contact us today to schedule a consultation and see this remarkable tool in action. Together, we’ll help your child grow stronger, more confident, and ready to take on the world!

Promoting Early Language Development (1-3 Years Old): A Guide for Parents

Posted on January 27, 2025

Effective Strategies for Promoting Early Language Development in Toddlers (1-3 Years)

As a parent, one of the most exciting milestones you’ll witness is when your little one starts to babble, form their first words, and eventually begin to combine words into sentences. Children between the ages of 1 and 3 experience a tremendous growth spurt in their language skills, and you, as a caregiver, play a crucial role in nurturing this development. Incorporating simple, everyday activities into your routine can foster your child’s communication abilities while strengthening your bond.

1. Model Simple, Repetitive Language

Language development begins with exposure; repetition is key to helping young children understand and start using words. By consistently repeating words, phrases, or sounds, you provide a model for your child to mimic. For example, when your child points to a ball, you could say, “Ball! Throw the ball.” By using the same word or phrase in similar contexts, your child will start to associate words with their meanings.

Tip for Parents: When playing, model simple sentences like, “I see the car. The car is red,” and repeat the words often to help your child start using them on their own.

2. Expand on Your Child’s Vocalizations and Verbalizations

Children naturally start to make sounds and babble, and it’s essential to expand on these early attempts at communication. If your child says “ba-ba” while playing with a ball, you can develop by saying, “Yes, that’s the ball!” or “Throw the ball to me!” This teaches your child to use more complex sentences and promotes vocabulary growth.

Tip for Parents: Note your child’s attempts to communicate, whether it’s a sound, word, or gesture, and repeat it with added detail or context to reinforce language skills.

3. Use Gestures to Support Understanding

Before children develop verbal skills, they often rely on gestures to communicate. By supporting these gestures with corresponding words, you help children make the connection between their physical actions and the words that describe them. For example, if your child raises their arms to be picked up, you can say, “Up! You want to go up!” This helps them link gestures with language.

Tip for Parents: Encourage your child to use gestures such as pointing, waving, or clapping, and always reinforce those gestures with words to help them connect physical actions with language.

4. Joint Attention: Share the Moment

Joint attention refers to the shared focus of two people on an object or activity. It’s an essential part of early language development because it helps children learn how to communicate about things they’re interested in. Whether it’s a toy, a picture, or a family pet, showing your child that you’re both looking at the same thing helps build their understanding of communication and strengthens your connection.

Tip for Parents: Use eye contact, point to objects, and narrate what’s happening in your child’s environment. For example, “Look at the dog! The dog is running!” This reinforces language development and creates meaningful moments of connection.

5. Engage in Interactive Activities

Interactive activities, such as reading, singing, and playing, are vital for boosting language development. Picture books are especially effective for introducing new words and concepts. Singing simple songs with repetition, like “Twinkle, Twinkle, Little Star,” helps your child learn words through rhythm and melody. Turn-taking games also help develop social communication skills.

Tip for Parents: Incorporate songs, books, and games into your daily routine. For example, during bath time, you can sing a song like “Rub-a-dub-dub, it’s time for a scrub!” to make the experience engaging and language-rich.

6. Narrate Actions and Label Objects

Narrating actions involves describing what you or your child are doing in the moment. This could be anything from “You’re putting the blocks in the box” to “I’m washing your hair.” It helps children understand the connection between words and actions and enhances their vocabulary.

Tip for Parents: Label everyday objects around the house, like “This is a spoon” or “The dog is running.” The more words your child hears, the more likely they will begin using them themselves.

7. Reflect and Support Your Role

Early language development takes time and practice. As a parent, it’s essential to reflect on your child’s progress and feel confident in your role as their primary language facilitator. Incorporating the above strategies into everyday activities will help ensure steady development, but remember that every child develops at their own pace.

Tip for Parents: Keep a journal of your child’s language milestones and celebrate each step along the way. If you have any concerns, discuss them with a speech-language pathologist (SLP) for guidance and support.

How Carolina Therapy Connection Can Help with Early Language Development

At Carolina Therapy Connection, we specialize in early language development and offer programs designed to support parents and caregivers in nurturing their children’s communication skills. Our team of speech-language pathologists (SLPs) provides one-on-one coaching sessions and tailored guidance to help you implement effective language strategies in your everyday routines.

Whether through interactive activities, practical tips, or personalized support, we’re here to empower you as your child’s primary language facilitator. If you’re interested in learning more about Early Language Development and how we incorporate different treatment plans into therapy, including intensives, please feel free to contact us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

Baby Bootcamp (Birth-1 Year)

Posted on January 27, 2025January 27, 2025

Baby Bootcamp: Enhancing Early Communication for Infants (Birth-1 Year)

The first year of a baby’s life is filled with remarkable growth and development, and one of the most important aspects of that development is language. Early communication lays the groundwork for future speech and language skills, which are essential for academic success, social interactions, and cognitive development. At Carolina Therapy Connection, we understand the importance of fostering a child’s communication skills from the very start, which is why we offer the Baby Bootcamp program.

What is Baby Bootcamp?

Baby Bootcamp is an intensive, parent-focused therapy program designed to support optimal language development during the first year of life, especially for babies with medical conditions that may impact their speech and language skills as they grow. This program equips parents with the knowledge and strategies they need to actively foster their child’s communication abilities, ensuring they build a strong foundation for future language growth.

The program is tailored to each baby’s unique developmental needs and provides parents with education, hands-on strategies, and daily coaching to help stimulate early communication. Led by skilled speech-language pathologists (SLPs), Baby Bootcamp focuses on creating a language-rich environment that encourages your baby’s natural communication development.

Key Strategies for Encouraging Early Communication

Verbal Modeling: One of the core elements of Baby Bootcamp is frequent verbal modeling. This strategy involves regularly speaking to your baby, using simple words, phrases, and sentences. Parents are encouraged to narrate their day, describing what they are doing or what the baby is experiencing. This helps babies connect sounds with meaning and fosters language comprehension.
Encouraging Babbling: Babbling is an important step in language development. During the program, SLPs guide parents on how to encourage their baby’s vocalizations through playful back-and-forth vocal exchanges. Engaging with your baby in this way helps promote the early stages of conversational turn-taking and strengthens your baby’s understanding of communication.
Using Visual Supports & Gestures: Babies start to understand gestures and visual cues well before they can speak. Baby Bootcamp teaches parents to incorporate gestures and visual supports, such as pointing, waving, and showing pictures or objects, to enhance their baby’s understanding of language.
Daily Routines as Learning Opportunities: Everyday activities such as diaper changes, feeding, and playtime provide excellent opportunities to build language skills. The program teaches parents how to integrate language-building activities into these daily routines, reinforcing joint attention (focusing on the same thing together) and encouraging early social interactions.

Milestone Tracking & Personalized Feedback

Baby Bootcamp includes milestone tracking, which allows parents to monitor their child’s progress and identify any areas that may need additional support. Through regular assessments and personalized feedback from SLPs, parents can better understand their baby’s unique needs and feel empowered to provide targeted language interventions.

Why Early Language Development Matters

The first year of life is a critical period for language development, and the foundation laid during this time can significantly impact future language and communication skills. Children who experience delays in communication during this stage may face challenges in speech, reading, and social interactions later in life. By focusing on early intervention and active participation, Baby Bootcamp ensures that parents are equipped to help their children reach their language milestones.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, our team of experienced speech-language pathologists is dedicated to providing individualized therapy programs like Baby Bootcamp. Our therapists work closely with parents to provide education, personalized strategies, and ongoing support to ensure that each child’s language development is on track. If you have concerns about your baby’s communication skills, our Baby Bootcamp can provide the guidance you need.

If you’re interested in learning more about Baby Bootcamp and how we incorporate this approach into therapy, including intensives, please feel free to reach out to us to schedule an evaluation. You can also use this link to explore more about our pediatric intensive therapy services.

Understanding Gestalt Language Processing: Helping Kids Communicate with Flexibility and Meaning

Posted on January 27, 2025

Exploring Gestalt Language Processing

Language is a powerful tool that helps us connect with others, express our needs, and understand the world around us. For many children, developing flexible and self-generated language can be a challenge. One way for individuals to produce language is called Gestalt Language Processing (GLP). This approach to language acquisition differs from what most people know to be “typical” language development but has the same ability to lead to meaningful and spontaneous communication.

What is Gestalt Language Processing?

Gestalt language processing is a way of learning language that focuses on whole phrases or “chunks” of language rather than starting with single words. These chunks, called gestalts, are often used by children in the early stages of language development. Think of them as full phrases/ sentences or expressions that children repeat or echo in the early stages of development. For example, a child might say a whole sentence like “I want to go outside” or “Can I have that?” without fully understanding all the parts of the sentence.

This development contrasts with the traditional, more analytic way of learning language, where children typically start by saying individual words, like “ball” or “want,” and gradually learn to combine them into longer sentences as they grow.

Why is Gestalt Language Processing Important?

Gestalt language processing is an entirely natural way to develop language, but it requires a different teaching approach for those gestalt language processors who need extra support. Many of these children may use echolalia, the repetition of words or phrases they hear, often without understanding the whole meaning behind them. For instance, they might repeat lines from a favorite TV show or mimic something they heard from a caregiver. This is a natural part of language development but sometimes leads to confusion about the meaning of what is being expressed. Gestalts often can not be taken literally. Instead, as communication partners, we must do the detective work to figure out what the individual is trying to communicate.

The goal is to help children move beyond echolalia, through the stages of gestalt language development, and begin using more self-generated language. Children are encouraged to mix and match gestalts, break them down into single words and two-word phrases, and develop their grammar skills, leading to more independent language use.

How Does Gestalt Language Processing Work?

The process involves several steps/ stages designed to help children understand the parts of language and how they fit together. Here’s how it works:

Delayed Echolalia: Children just beginning their journey to natural language acquisition need to learn more gestalts. Communication partners need to model a variety of natural language opportunities for the individual to echo. This helps to build their collection of available language.
Mitigation: The next stage requires individuals to mitigate, or mix and match, their available gestalts to make new ones. For example, a child might use the gestalts “let’s go to the park” and “take a ride in the car.” When mitigating, the child might combine these gestalts to create a new one, such as “Let’s go to the car”.
Breaking Down Gestalts: The child’s echolalic scripts (the chunks of language they repeat) are carefully analyzed. Speech-language pathologists (SLPs), with the help of those who know the child best, will look at the phrases the child uses and help them break them down into smaller components such as single words or 2-word phrases such as “red car” or “park.”
Building Self-Generated Communication: After the script is broken down, the child is guided to use these smaller parts in new, flexible ways. As the child progresses through the later stages of gestalt language development, the goal is to move from echoed phrases to self-generated language with appropriate grammar.

SLPs model simplified language in natural settings. This means interacting with the child in everyday situations like playing, eating, or walking. The therapist might say things like, “I want the red ball” or “I’m going to the store,” and encourage the child to try these phrases independently.

We also aim to help children develop the social and emotional skills to connect with others. As they learn new language skills, they also gain the ability to express themselves in ways that help them build relationships and regulate their emotions.

Caregivers play a crucial role in reinforcing these language skills outside of therapy. SLPs work with parents and caregivers to teach them strategies for encouraging natural language in everyday interactions, ensuring the child’s progress continues even when not in therapy.

Activities to Support Gestalt Language Processing

Activities that promote Gestalt language processing are designed to be fun and engaging for children. Here are a few examples:

Storytelling and Pretend Play: Pretend play allows children to use language in various ways and practice new phrases in different contexts. For example, a child might pretend to be a chef, saying, “I’m cooking dinner” or “I need help with the soup.”
Interactive Games: Games that encourage turn-taking and conversation, such as board or card games, help children practice using language spontaneously and flexibly.
Songs and Rhymes: Songs often include repetitive phrases that children can learn and then adapt to different situations, building their confidence and flexibility in communication.

How Carolina Therapy Connection Can Help

At Carolina Therapy Connection, we understand children’s unique challenges in developing flexible, meaningful communication. Our team of experienced speech-language pathologists (SLPs) uses natural language acquisition techniques to help children progress through gestalt language development and develop functional, self-generated language skills.

We offer individualized therapy sessions tailored to your child’s needs. These sessions help your child build language skills through engaging and natural activities. Our team also works closely with parents and caregivers to ensure that the progress made in therapy continues in everyday interactions at home and in the community.

Understanding Speech Sound Disorders in Children: Helping Your Child Feel Understood

Posted on January 27, 2025

Understanding Speech Sound Disorders: Articulation and Phonological Challenges in Children

Speech sound disorders are characterized by difficulty producing clear and intelligible speech. They can manifest as difficulty producing specific sounds (articulation disorders) or broader patterns of sound errors (phonological disorders). Both conditions can hinder communication, affect self-esteem, and impact social interactions.

What Are Speech Sound Disorders?

Speech sound disorders encompass difficulties producing speech sounds correctly or organizing them according to the rules of language.

Articulation Disorders: These involve challenges in physically producing specific speech sounds. For example, a child might substitute “wabbit” for “rabbit” or omit sounds altogether, such as saying “ca” instead of “cat.”
Phonological Disorders: These refer to predictable patterns of errors affecting sound organization and usage. For instance, a child might consistently simplify sound clusters, saying “pane” instead of “plane.”

Both types of disorders can reduce speech intelligibility, making it hard for others to understand the child.

Examples of Common Speech Errors

Children with speech sound disorders may exhibit errors such as:

Substitutions: Replacing one sound with another, such as “fumb” for “thumb.”
Omissions: Leaving out a sound, such as saying “bu” for “blue.”
Distortions: Producing a sound inaccurately, such as a slushy “s” in place of a clear “s.”
Phonological Processes: Using error patterns like fronting (“tat” for “cat”) or cluster reduction (“top” for “stop”).

How Speech Therapy Can Help

At Carolina Therapy Connection, we offer evidence-based treatments tailored to each child’s unique needs. Our team addresses articulation and phonological issues, helping children speak more clearly and confidently.

Therapy Techniques

The Cycles Approach targets one phonological pattern at a time in a structured cycle to gradually improve multiple speech errors.
Minimal Pairs Therapy: Uses pairs of words like “bat” and “pat” to help children differentiate and produce distinct sounds.
Phonetic Placement Approach: Provides multimodal (visual, tactile, and verbal) prompts and cues to assist in articulator placement and movement.
Traditional Articulation Approach: Focuses on correctly producing specific sounds through repetition drills and guided practice.

Auditory Bombardment: Exposes children to repeated examples of correct sound use to help them internalize patterns.
Modeling and Recasting: Demonstrates accurate sound production and corrects errors naturally during conversation.
Shaping and Scaffolding: Gradually builds complex skills by starting with more straightforward tasks.

Generalization and Confidence Building

The ultimate goal of speech therapy is to help children generalize their improved skills to everyday interactions. This involves:

Practicing target sounds in real-life situations, such as reading aloud or engaging in conversations.
Providing home practice activities with parental involvement to reinforce progress.
Encouraging self-confidence as children experience success in communicating clearly.

Why Choose Carolina Therapy Connection?

At Carolina Therapy Connection, our licensed Speech-Language Pathologists (SLPs) are dedicated to helping children overcome the challenges of speech sound disorders. We create individualized therapy plans that address each child’s needs while working closely with families to ensure lasting progress.

With our evidence-based approaches, we aim to improve speech intelligibility, enhance communication, and foster self-esteem. If you’re interested in learning more about severe speech sound disorders and how we incorporate different treatment plans into therapy, including intensives, please get in touch with us to schedule an evaluation. You can also use this link to explore our pediatric intensive therapy services.

CTC Ranked in North Carolina’s ‘Best Employers 2023’

Posted on June 9, 2023October 4, 2023

Who ranks North Carolina’s Best Employers of 2023?

See Our Ranking Below Under ‘Medium Sized Employers’

See the FULL issue of Business North Carolina’s annual list of Best Employers HERE

What sets Carolina Therapy Connection apart from other Employers?

Carolina Therapy Connection is a therapist-owned, growing private pediatric outpatient practice with sensory clinic locations in Greenville, Goldsboro, and New Bern, North Carolina. For the past 12 years CTC has been providing OT, PT, ST, and educational services to children of all ages and diagnoses including: autism spectrum disorder, sensory processing disorder, cerebral palsy, feeding disorders, and developmental delay. Children are served within our newly expanded, state-of-the-art sensory clinics, within the community, and within school settings. In 2023 we added Mental Wellness and Counseling to the umbrella of services CTC offers.

Carolina Therapy Connection is the first outpatient therapy clinic Certified Autism Center™ (CAC) in Eastern North Carolina. Carolina Therapy Connection covers the cost of all staff to complete this professional certification within their first year of hire. Our culture at CTC is faith-based, built around serving others while creating a fun and exciting place to work that will motivate you!

Just a few reasons to join our team …

Competitive Compensation with weekly and monthly incentive bonuses (salary or pay per visit- based on yourpreference and goals!)
Flexible schedules perfect for therapists with families (all staff choose their own schedule- what works best for you?)
Fun, social clinic setting with company sponsored events every month (team building, potlucks, snack bars, ice cream socials, etc!)
Prizes that reward team members who carry out our core values and supportive culture (monthly core value cash prizes!)
Multi-disciplinary setting with supervision and mentorship programs to help you grow and based upon the support you need!
Supportive, faith-based culture that values teamwork as well as individual team member goals (meetings on a monthly and quarterly basis to check in on your personal and professional growth!)
Opportunity for growth within the company including management and leadership opportunities (clinical and administrative ladder programs)
Web-based, electronic documentation system (document anywhere that suits you!)
Simple IRA with retirement matching (no vesting period!)
Health, vision and dental group insurance through BCBSNC with Company contribution
Disability insurance
Life insurance and Employee Assistance Program (free mental health/wellness services) paid 100% by employer
PTO and all major holidays observed (let’s hear it for no weekends or holidays!)
Continuing education compensation and company sponsored CEU opportunities
We invest in every team member to receive credentialing as an Certified Autism Specialist or Autism Certificate through the IBCCES certification program
We credential all of our interested clinicians in becoming certified in the Interactive Metronome treatment modality
Private offices for speech language pathologists (and SLP assistants)
Clinical Fellowship program with close mentorship and training
Relocation assistance and sign on/retention bonuses for certain positions
Annual licensing fees and professional liability costs covered
Referral bonuses
Travel reimbursement
Computers and other technology options (iPads) for each employee
15,000 sq.ft. clinic with state of the art sensory spaces for enhanced therapy experiences
All treatment equipment and assessments provided by company
Amazing administrative staff that handle all scheduling, billing and insurance authorizations (YES… Let’s hear it for less time spent documenting!)
A variety of settings offered based on clinician preference (schools, homes, daycares, clinic)

Interested in joining our team? Head over to our Careers Page to apply NOW!

Does My Child’s Pencil Grasp Matter?

Posted on March 1, 2022October 4, 2023

Does the way children hold their pencil really matter?

If you have a pencil handy, pick it up and notice how you hold it. Which fingers does the pencil rest between how are you supporting it? How much pressure do you use when you write? Does it really make a difference in your handwriting? The answer is YES, it does matter! How you hold your pencil really does make a difference—and it will also impact your writing. Your pencil grasp is directly related to handwriting speed and legibility, as having a mature grasp is more efficient and less tiring on your hands (Schwellnus, et al., 2012). Having a mature grasp also directly correlates with fine motor skills and your ability to manipulate other things (i.e. tying your shoes, picking up small objects, flossing, zipping up your jacket, using a fork or spoon).

Handwriting is essential for academic success and a foundation for efficient writing lies in how the child holds their pencil and the order in which letters are formed. It is important to address these concerns as early as possible. After the age of 8, changing grasp and formation patterns is difficult, but not impossible.

What are the stages of pencil grasp development?

There are several stages of pencil grasp development needed to develop a functional grasp that can be used to write efficiently and legibly. Each stage is important and helps to develop different muscles in the hand. Children typically develop control over the larger muscles of the trunk and arms before developing the smaller muscles of the hands. This is why grasp changes over time. Not all children will use all of these grasps during their fine motor development. Some children will use more than one grasp at an age as their skills develop and change. However, they should develop a functional mature grasp similar to the tripod grasp listed below.

Palmer grasp/Fisted grasp: typically develops between 12-18 months.

Digital pronate grasp: typically develops at 2-3 years.

5 finger grasp: typically develops between 3-4 years

Four finger/quadrapod grasp: typically develops at 3.5-4 years

Tripod grasp: typically develops at 5-6 years

What is letter formation?

Handwriting is a complex process that involves many skills and body functions to work in a precise manner. Letter formation refers to the order in which each line segment is produced to make a single letter. Children should learn to form letters from top to bottom and from left to right. The order in which letters are formed either aids or interferes with efficient, legible writing.

Why is proper letter formation important?

Children who have poor letter formation usually do not enjoy handwriting and/or the process takes longer than they would like.
Proper letter formation increases handwriting legibility, speed and accuracy.
Without the proper order of formation, letters are being ‘drawn’ more than formed and handwriting suffers.
Teaching proper letter formation can help to limit letter reversals such as b and d.
Practicing proper letter formation teaches higher cognitive skills ( i.e. working memory, sequencing, self-monitoring).

It’s important to note that every child’s handwriting style and process of learning is different and THAT IS OKAY! Our occupational therapists use a child-centered approach to help your kiddo become confident in their abilities while making handwriting FUN! If you are concerned about how your child forms letters or holds their pencil, an occupational therapist should evaluate your child. The therapist will determine if there are any skill or strength deficits and formulate a plan that is individualized for your child’s unique needs.

Written by: Amanda Easter, MS, OTR/L, CAS

References

Schwellnus, H., Carnahan, H., Kushki, A., Polatajko, H., Missiuna, C., & Chau, T. (2012). Effect of pencil grasp on the speed and legibility of handwriting in children. American Journal of Occupational Therapy, 66: 718–726.

Optimizing Therapy Progress

Posted on February 1, 2022October 4, 2023

Competence Brings Confidence

When we begin treatment with a new patient, or we begin working on a new skill at home as a parent, we often become so excited about the goal, or the end game, that we forget about all the small steps we should take to get there. Over the past 20 years working with children and families as an SLP and raising my own children I have learned that we need to celebrate the small steps in life and for therapy progress.

At some point I started telling parents of preschoolers and early elementary students, “Competence brings confidence!”

Your child might learn a very small step toward their goal in a therapy session. This small step should bring a lot of excitement, praise, and chances to “show it off” at home. These chances are growing your child’s confidence in their abilities. Those chances are giving neural connections a chance to form. Those chances are reinforcing new motor patterns. Being competent in a new skill, no matter how small, brings confidence! Confidence gives us the drive and the will to keep working hard and keep going. It keeps us excited in our pursuit to learn something new or difficult and optimizes therapy progress.

Focus on the Small Steps for Big Victories

Often parents and practitioners focus too much on the end goal. Young children do not even know what the end goal is. We need to celebrate each very small step along the way.

With the confidence your child has from practicing a seemingly small skill at home, they come to therapy ready to move on and add more new skills. They will have the skill they have become so good at in their tool belt, and add to it! They might have started making a speech sound with confidence in isolation. When they are confident with that skill because they have shown it off many times, they will be ready to move on to making that sound in words.

In the opposite scenario we might spend time working on the small skills, try to speed along, and forget to give praise and practice at each step. We are focused on the end goal, for example, clear speech. All along your child or patient might practice and never realize all the small gains because we forget to praise them with small steps or have them show off their small steps. In this scenario, opportunities to practice important building blocks are missed. Opportunities to build confidence are missed, and ultimately the pace of progress is slower.

In the end, learning the “end goal” should have felt like many moments of satisfaction and praise to finally reach where we wanted the child to be. It should not feel like many moments of trying and not {quite} getting there and being corrected over and over until we {finally} get good enough.

Incidentally, this works for grown ups too! If you are trying to learn something new, give yourself some grace. Focus on a small step you have mastered and practice it or show it off many times, and then move on. In the long run, you will be smarter and stronger for building competence in the small steps all along, and you will be more confident with your goal when you get there!

Optimizing Therapy Progress at Carolina Therapy Connection

The key to success is realizing that our large or end goals aren’t going to happen overnight, in the next week or maybe even the next year, but this is okay. We tend to take the present moment for granted – it seems insignificant, and we believe the little things we do in the moment are not changing us. At Carolina Therapy Connection, we believe in a culture that embraces the small victories for your family! Each time your child has milestone achievement, we will find a way to celebrate. We believe it is critical to make therapy as fun and motivating as possible by celebrating the small victories as well as major achievements. After all, when children enjoy what they are doing, who they are with and the environment they are in, anything is possible! If your family has concerns regarding your child’s development or goals you would like to achieve, call us at 252-341-9944. We would love to help you and make you a part of our CTC family and culture.

Written by: Susan Hill, MS, CCC-SLP